Individual
ELIZABETH M COUTURE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
1389 W MAIN ST, SUITE 121, WATERBURY, CT 06708-3104
(203) 755-5555
(203) 597-6391
Mailing address
132 PUNKUP RD, OXFORD, CT 06478-1750
(203) 888-4303
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
001818
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
080001818CT07
ANTHEM BLUE CROSS BLUE SHIELD
CT
Enumeration date
10/06/2006
Last updated
10/14/2008
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